TALLAHASSEE MEMORIAL HEALTHCARE INC (NPI# 1306369657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306369657 |
| Entity Type | Organization |
| Organization Name | TALLAHASSEE MEMORIAL HEALTHCARE INC |
| Other Organization Name | MADISON COUNTY MEMORIAL HOSPITAL |
| Practice Address |
224 Nw Crane Ave Madison FL 32340-1400 |
| Mailing Address |
1300 Medical Drive Billing Department Tallahassee FL 32308-4622 |
| Practice Telephone | 8509732271 |
| Practice Fax Number | 8509732818 |
| Mailing Telephone | 8502160100 |
| Mailing Fax Number | 8502160180 |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | MR. ROBIN L MOSS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8504316256 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 375270421 | 05 |
| Other Name | Type Code |
|---|---|
| Madison County Memorial Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199236 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 877 3rd St Ste 3, Chipley, FL 32428-1855 | 2020-06-19 |
| 1396365623 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 2100 Centerville Rd, Tallahassee, FL 32308-4379 | 2020-04-16 |
| 1568008373 | Tallahassee Memorial Healthcare Inc | Psychiatry & Neurology | 7514 Park Springs Cir, Orlando, FL 32835-2619 | 2019-11-27 |
| 1447555743 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 4230 Hospital Dr Ste 202, Marianna, FL 32446-1955 | 2011-01-18 |
| 1558681684 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 555 North Byron Butler Parkway, Tmh Physician Partners, Perry, Perry, FL 32348-2315 | 2010-06-11 |
| 1386862852 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 1505 Surgeons Drive, Tallahassee, FL 32308 | 2007-04-23 |
| 1174539522 | Tallahassee Memorial Healthcare Inc | Home Health | 1619 Physicians Dr, Tallahassee, FL 32308-4620 | 2006-07-31 |
| 1649229402 | Tallahassee Memorial Healthcare Inc | Family Medicine | 1549 S Jefferson St, Monticello, FL 32344-1651 | 2006-05-09 |
| 1376140913 | Tallahassee Memorial Healthcare Inc | Family Medicine | 137 12th St, Apalachicola, FL 32320-2110 | 2020-10-07 |
| 1649892399 | Tallahassee Memorial Healthcare Inc | Dentist | 1401 Centerville Rd Ste G02, Tallahassee, FL 32308-4638 | 2020-05-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TALLAHASSEE MEMORIAL HEALTHCARE INC | 2039 N Monroe St, Tallahassee, FL 32303-4727 |
| Street Address |
224 NW CRANE AVE |
| City | MADISON |
| State | FL |
| Zip Code | 32340-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104821461 | Madison County Hospital Health Systems, Inc. | General Acute Care Hospital | 224 Nw Crane Ave, Madison, FL 32340-1400 | 2005-06-14 |
| 1528180338 | Ira John Seasholtz | Radiology | 224 Nw Crane Ave, Madison, FL 32340-1400 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376016980 | Annie Laura Dyke | Registered Nurse | 213 Sw Third Ave, Madison, FL 32340 | 2019-01-07 |
| 1730698051 | Judith Khristian Sever-johnson | Registered Nurse | 218 Sw Third Avenue, Madison, FL 32340 | 2017-09-29 |
| 1265800437 | Maria Anchondo | Dentist | Ave. De La Raza #4722, Suite 3, Juarez, CHIHUAHUA 32340 | 2015-09-04 |
| 1508106063 | Family First Wellness Clinic, LLC | Family Medicine | 486 Sw Rutledge Street, Madison, FL 32340 | 2013-02-20 |
| 1306032073 | North Florida Pharmacy of Madison Inc. | Durable Medical Equipment & Medical Supplies | 139 Sw Macon St, Madison, FL 32340 | 2007-09-17 |
| 1295949444 | Roderick K Shaw IIi Dmd Pa | Dentist | 255 Ne Duval Ave, Madison, FL 32340 | 2007-05-09 |
| 1124159728 | Duramed Medical Services | Physiological Laboratory | 289 Sw Range Ave, Ste D, Madison, FL 32340 | 2007-03-08 |
| 1861595514 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 407 East Base St, Madison, FL 32340 | 2006-09-07 |
| 1194701862 | Mos LLC | Nurse Practitioner | 256 Sw Washington Ave, Madison, FL 32340 | 2005-12-15 |
| 1699248203 | Katelynn Mae Croft | Licensed Practical Nurse | 213 Sw Third Ave, Madison, FL 32340 | 2019-01-07 |
| Find all providers in zip 32340 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215414727 | Telemedico Physicians of Wisconsin Sc | Internal Medicine | 301 S Bedford St Ste 1, Madison, WI 53703-3691 | 2018-07-26 |
| 1932489291 | Proactive Cardiology LLC | Internal Medicine | 2614 Hubbard Rd, Madison, OH 44057-2530 | 2011-08-18 |
| 1265730865 | Richard Glenn Hutchinson | Internal Medicine | 337 Long Cove Dr, Madison, MS 39110-9113 | 2011-03-05 |
| 1073844932 | James Harry Thomsen | Internal Medicine | 7709 Twinflower Dr, Madison, WI 53719-4544 | 2010-01-15 |
| 1194998955 | Manoochehr Meshginpoosh | Internal Medicine | 5856 Chapel Rd, Madison, OH 44057-1754 | 2008-04-11 |
| 1083893606 | Kornelia Keszler, Md, PC | Internal Medicine | 1-b Meigswood Ave, Madison, CT 06443 | 2007-10-31 |
| 1821002833 | Alfred E Hutcheson | Internal Medicine | 794 Highway 51, Suite D, Madison, MS 39110-9662 | 2006-07-27 |
| 1396701553 | Zilin Wang | Internal Medicine | 100 Whisper Lake Blvd, Madison, MS 39110-7881 | 2006-04-25 |
| 1396713368 | Bonnie Lynn Hiatt | Internal Medicine | 27 Indigo Trl, Madison, CT 06443-1960 | 2006-03-08 |
| 1861469470 | Tamara S Hagen | Internal Medicine | 811 Potawatomi Dr, Madison, WI 53718 | 2006-03-02 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.